<p>
    Etes-vous sûr de vouloir supprimer
    '<?php echo $this->escape($this->patient['nom']); ?>'
    '<?php echo $this->escape($this->patient['prenom']); ?> '?
</p>
<form action="<?php echo $this->url(array('action' => 'delete')); ?> "method="post">
    <div>
        <input type="hidden" name="id" value="<?php echo $this->patient['id_patient']; ?>" />
        <input type="submit" name="del" value="Oui" />
        <input type="submit" name="del" value="Non" />
    </div>
</form>